[Percutaneous cholecystostomy in treating acute cholecystitis in patients at risk].

Abstract

Percutaneous cholecystostomy was performed in 17 poor surgical risk patients. 16 patients developed acute acalculous cholecystitis postoperatively in the intensive care unit, 1 patient had an acute cholecystitis with calculi. Diagnostic imaging using CT and US was specific for acute cholecystitis in 58% only. Percutaneous cholecystostomy was the definitive treatment in 69% of the patients. Additional cholecystectomy was required in 3 patients with complicated cholecystitis, in 1 patient with bile leakage after catheter dislocation and in 1 patient with gallbladder calculi. 3 patients died, 2 of them from reasons unrelated to the gallbladder disease. Radiology-guided percutaneous cholecystostomy performed by a transhepatic approach is a safe and effective procedure for acute cholecystitis in high-risk patients.

• Authors: H Berger, H Forst, U Nattermann, E Pratschke
• Journal: RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin (Rofo) Vol. 150 Issue 6 Pg. 694-8 (Jun 1989) ISSN: 1438-9029 [Print] Germany
• Vernacular Title: Perkutane Cholezystostomie in der Behandlung der akuten Cholezystitis des Risikopatienten.
• PMID: 2544947 (Publication Type: English Abstract, Journal Article)

Topics

• Acute Disease
• Aged
• Aged, 80 and over
• Cholecystitis (surgery)
• Cholecystostomy (methods)
• Female
• Humans
• Male
• Middle Aged
• Risk